Kimberly Jankunas LCSW PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KIMBERLY JANKUNAS LCSW PLLC

Practice address

172 Oak Leaf Cir
Gloversville, NY 12078-5835

Phone

(330) 416-0425

Fax

(315) 802-7670

NPI assigned

Nov 25, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kimberly L Jankunas, LCSW-R

Title

Supervisor

Phone

(330) 416-0425

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly L Tambasco-Jankunas, LCSW-R

  • Clinical Social Worker
  • Gloversville, NY
  • NPI 1184839649
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1932703378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 OAK LEAF CIR",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120785835",
            "telephone_number": "330-416-0425",
            "fax_number": "315-802-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 OAK LEAF CIR",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120785835",
            "telephone_number": "330-416-0425",
            "fax_number": "315-802-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY JANKUNAS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "JANKUNAS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "330-416-0425",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia K Kern, M.S.W.
• Nancy J Kerr, PTA
• Parvathi S Kesari, MD
• Hesaraghatta Buddappa Keshava, M.D.
• Elisa Yeonhee Kim
• Dwain O King, LPN
• Kathleen Ann Kissane, RN, CLC, IBCLC
• Jessica Klingler
• Rachel Anna Knaust, DDS
• Tracy Lynn Knecht, RN

• Mental Health Counselor in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.